Shalon McMiller

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1505 W Texas St Ste C
Fairfield, CA 94533-5975

Phone

(707) 653-9692

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1679008841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER ST",
            "address_2": "SUITE E",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334997",
            "telephone_number": "707-422-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W TEXAS ST STE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335975",
            "telephone_number": "707-653-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLER",
        "first_name": "SHALON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK315983",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Margaret McMahon
• James F McMahon, M.D.
• Kelly Ann McMahon, SP
• Ashelee Barbra McManaman, DO
• Todd Marshall McManus, PH.D.
• Shayla McNeal
• Kyle McNulty, DDS
• Anne McPheeters
• Wendy Michaela McStravick
• Dallas Omar McWilliams, IDMT

• Durable Medical Equipment & Medical Supplies in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.